Acupuncture for peripheral joint osteoarthritis

Manheimer, Eric; Cheng, Ke; Linde, Klaus; Lao, Lixing; Yoo, Jung-Hee; Wieland, Susan; Windt, Daniëlle A. van der; Berman, Brian M.; Bouter, Lex M.

doi:10.1002/14651858.cd001977.pub2

Cited by 216 publications

(206 citation statements)

References 115 publications

(360 reference statements)

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“…3). Thus, these findings provide a physiological basis for the growing body of evidence for the effectiveness of acupuncture in locomotor conditions associated with tenderness [111][112][113].…”

Section: Results Interpretationmentioning

confidence: 70%

Effects of Acupuncture on Sensory Perception: A Systematic Review and Meta-Analysis

Baeumler¹,

Fleckenstein²,

Takayama

et al. 2015

Deutsche Zeitschrift für Akupunktur

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Background: The effect of acupuncture on sensory perception has never been systematically reviewed; although, studies on acupuncture mechanisms are frequently based on the idea that changes in sensory thresholds reflect its effect on the nervous system. Methods: Pubmed, EMBASE and Scopus were screened for studies investigating the effect of acupuncture on thermal or mechanical detection or pain thresholds in humans published in English or German. A meta-analysis of high quality studies was performed. Results: Out of 3007 identified articles 85 were included. Sixty five studies showed that acupuncture affects at least one sensory threshold. Most studies assessed the pressure pain threshold of which 80% reported an increase after acupuncture. Significant short-and long-term effects on the pressure pain threshold in pain patients were revealed by two meta-analyses including four and two high quality studies, respectively. In over 60% of studies, acupuncture reduced sensitivity to noxious thermal stimuli, but measuring methods might influence results. Few but consistent data indicate that acupuncture reduces pin-prick like pain but not mechanical detection. Results on thermal detection are heterogeneous. Sensory threshold changes were equally frequent reported after manual acupuncture as after electroacupuncture. Among 48 sham-controlled studies, 25 showed stronger effects on sensory thresholds through verum than through sham acupuncture, but in 9 studies significant threshold changes were also observed after sham acupuncture. Overall, there is a lack of high quality acupuncture studies applying comprehensive assessments of sensory perception.

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Section: Results Interpretationmentioning

confidence: 70%

Effects of Acupuncture on Sensory Perception: A Systematic Review and Meta-Analysis

Baeumler¹,

Fleckenstein²,

Takayama

et al. 2015

Deutsche Zeitschrift für Akupunktur

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“…Consequently recent systematic reviews provide more reliable evidence when compared to reviews that were carried out in the late 1990s [1][2][3][4]. The current evidence indicates that acupuncture provides clinically relevant benefits when compared to usual care/ waiting list/ other physical interventions [4,5].…”

Section: Introductionmentioning

confidence: 94%

“…The procedure will be referred to here as 'needle acupuncture'. Systematic reviews of acupuncture for osteoarthritis of the knee have concluded that acupuncture provides clinical benefits [3,4,13]. The clinical trials that form the evidence base of acupuncture for osteoarthritis of the knee did not use moxibustion as part of their acupuncture protocols [3,4].…”

Section: Introductionmentioning

confidence: 99%

Warm needle acupuncture vs. needle acupuncture for osteoarthritis of the knee: A pilot study protocol

Appleyard

Crichton

Robinson

2016

European Journal of Integrative Medicine

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IntroductionAcupuncture has been shown to have clinically relevant benefits for chronic pain. However, interpretation of the results and whether they are due to the placebo effect remains contested. As a complex physical intervention acupuncture presents particular problems in clinical research that seeks to identify a specific effect. The existing evidence mosaic can be enhanced by randomised controlled trials that investigate the specific efficacy of different components of acupuncture. This study investigates the specific efficacy of the conducted heat in warm needle acupuncture. MethodsThe study is a randomised, controlled, parallel-group 2-armed clinical trial. It is designed so that the outcome administrator, participants and primary acupuncturist will be blinded to group allocation. AnalysisThe primary outcome measures WOMAC® NRS 3.1 score and SF 36 are both considered interval variables and provided the distribution of changes is normally distributed the change in score will be analysed using t-test. The information obtained from interviews with participants will be thematically analysed. DiscussionCompromises from acupuncture in practice have been made in order to devise procedures that can investigate the specific efficacy of the conducted heat of warm needle acupuncture. The way in which these compromises may impact on interpretation of the results is discussed.

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“…10 Acupuncture has been used successfully in a variety of chronic pain conditions ranging from osteoarthritis to chronic migraines. 8,11,12 There is some evidence that acupuncture may be beneficial for idiopathic headache as well. 13 Acupuncture combined with non-narcotic analgesics may obviate the need for opioid therapy and reduce side effects associated with higher dosages of medication.…”

Section: Categories Of Complementary and Alternative Medicinementioning

confidence: 99%

“…For example, in 2011, Lee and Ernst published an analysis of Cochrane reviews that thoroughly addresses the specific evidence on acupuncture for pain. 12,[15][16][17][18][19][20] They found that most of the evidence for the effect of acupuncture in pain related to migraines, neck disorders, tension-type headaches, and peripheral joint osteoarthritis. They also noted a lack of effect for rheumatoid arthritis and inconclusive results for some other types of pain, suggesting that acupuncture is effective for some types of pain but clearly not all.…”

Section: Categories Of Complementary and Alternative Medicinementioning

confidence: 99%

Complementary and alternative medicine therapies for the anesthesiologist and pain practitioner: a narrative review

Woodbury

Soong

Fishman

et al. 2015

Can J Anesth/J Can Anesth

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Acupuncture for peripheral joint osteoarthritis

Cited by 216 publications

References 115 publications

Effects of Acupuncture on Sensory Perception: A Systematic Review and Meta-Analysis

Effects of Acupuncture on Sensory Perception: A Systematic Review and Meta-Analysis

Warm needle acupuncture vs. needle acupuncture for osteoarthritis of the knee: A pilot study protocol

Complementary and alternative medicine therapies for the anesthesiologist and pain practitioner: a narrative review

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